The Role of Self-regulation Failures and Self-care in the Link Between Daily Sleep Quality and Blood Glucose Among Adults with Type 1 Diabetes

Overview

Journal Ann Behav Med

Publisher Oxford University Press

Specialty Social Sciences

Date 2019 Oct 19

PMID 31624834

Citations 7

Authors

Eunjin Lee Tracy

Cynthia A Berg

Robert G Kent de Grey

Jonathan Butner

Michelle L Litchman

Nancy A Allen

Vicki S Helgeson

Affiliations

Soon will be listed here.

Abstract

Background: Sleep, a process that restores the body's ability to self-regulate, may be one important factor affecting self-care behaviors and blood glucose (BG) levels. The link between sleep quality, self-care behaviors, and BG levels may occur by sleep-altering daily self-regulatory failures.

Purpose: This study examined whether the relation between sleep quality and self-care behaviors occurred through self-regulation failures and whether the relation between sleep quality and BG levels occurred through self-regulation failures and self-care behaviors sequentially.

Methods: One hundred and ninety-nine adults with type 1 diabetes (T1D) completed an online questionnaire for 14 days in which they reported sleep quality, self-regulation failures, and self-care behaviors. BG levels were gathered from glucometers. Analyses involved multilevel mediation models and focused on daily within-person and between-person variability of sleep quality.

Results: Better daily sleep quality was associated with higher self-care behaviors at both within-person and between-person levels, and self-regulation failures mediated the association between daily sleep quality and daily self-care behaviors at both within-person and between-person levels. Better daily sleep quality was associated with better BG levels at the within-person level and self-regulation behaviors and self-care behaviors sequentially mediated the association between daily sleep quality and daily BG levels at the within-person level.

Conclusion: This study provides a process account of the importance of daily sleep quality of adults with T1D, as well as one potential mechanism-self-regulation-that may explain the effect of sleep quality on diabetes outcomes.

Citing Articles

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Sleep-Opt-In: A Randomized Controlled Pilot Study to Improve Sleep and Glycemic Variability in Adults With Type 1 Diabetes.

Martyn-Nemeth P, Duffecy J, Quinn L, Steffen A, Baron K, Chapagai S Sci Diabetes Self Manag Care. 2022; 49(1):11-22.

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Does Prior Night's Sleep Impact Next Day's Executive Functioning? It Depends on an Individual's Average Sleep Quality.

Yu D, Goncalves C, Yang P, Geldhof G, Michaelson L, Ni Y J Pers Oriented Res. 2022; 8(1):10-23.

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Intraindividual Fluctuations in Sleep Predict Subsequent Goal Setting in Adolescents.

Michaelson L, Berg J, Boyd-Brown M, Cade W, Yu D, Geldhof G J Pers Oriented Res. 2022; 7(2):78-87.

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Couples Managing Type 1 Diabetes Using Diabetes Technology.

Allen N, Litchman M, Neller S, Tracy E, de Grey R, Grigorian E Diabetes Spectr. 2021; 34(4):378-387.

PMID: 34866871 PMC: 8603131. DOI: 10.2337/ds20-0045.

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